Provider Demographics
NPI:1700816279
Name:BARRETT, SARAH (LICSW)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:
Last Name:BARRETT
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:754 UPPER COLONIAL DR
Mailing Address - Street 2:
Mailing Address - City:MENDOTA HEIGHTS
Mailing Address - State:MN
Mailing Address - Zip Code:55118-2715
Mailing Address - Country:US
Mailing Address - Phone:651-252-4011
Mailing Address - Fax:844-965-9237
Practice Address - Street 1:11900 WAYZATA BLVD
Practice Address - Street 2:STE 112
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55305-2018
Practice Address - Country:US
Practice Address - Phone:651-252-4011
Practice Address - Fax:844-965-9237
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2016-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN184131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical